Remote Telephonic Nurse Case Manager RN – Compact States


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Requisition Number: 2186858
Job Category: Nursing
Primary Location: Saint Louis, MO
(Remote considered)

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. 

We’re making a solid connection between exceptional patient care and outstanding career opportunities. The result is a culture of performance that’s driving the health care industry forward. As a Telephonic Case and Disease Manager RN, you’ll support a diverse member population with education, advocacy, and connections to the resources they need to feel better and get well. Instead of seeing a handful of patients each day, your work may affect millions for years to come. This is a high volume role that requires critical thinking skills and a customer service approach.  You’ll need to be efficient, productive, and thorough while working with our members over the phone.  Solid computer and software navigation skills are critical.  You should also be exceptionally patient-focused and adaptable to changes.  If you have solid clinical judgement and are energized by helping people through clinical challenges, this is the job for you!  Ready for a new path? Apply today!

The schedule for this position is Monday – Friday during standard business hours and includes working two nights per week until 8PM in the local time zone.

You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

  • Making outbound calls to assess members’ current health status
  • Identifying gaps or barriers in treatment plans
  • Providing patient education to assist with self-management
  • Interacting with Medical Directors on challenging cases
  • Coordinating care for members
  • Making referrals to outside sources
  • Coordinating services as needed (home health, DME, etc.)
  • Educating members on disease processes
  • Encouraging members to make healthy lifestyle changes
  • Accurately and timely documentation of member progress
  • Making ‘welcome home’ calls to ensure that discharged member receive the necessary services and resources

This is high volume, customer service environment. You’ll need to be efficient, productive, and thorough dealing with our members over the phone. Solid computer and software navigation skills are critical. You should also be exceptionally patient-focused and adaptable to changes.

This position will require active and unrestricted Nursing licensure in multiple US States. Selected candidate must be willing and able to obtain and maintain multiple state licensure. Application fees and filing costs will be paid for by UHG.

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

  • Active and unrestricted Compact RN License in your state of residence
  • Willingness and ability to obtain additional RN licenses as necessary
  • 3+ years of RN experience in a hospital setting, acute care, direct care, or as a telephonic Case Manager for an insurance company
  • Computer proficiency including navigating a Windows environment; using MS Outlook; creating, editing, saving, and sending documents in MS Word; talking and typing at the same time; and using multiple applications simultaneously
  • Access to install secure, high-speed internet and a dedicated, distraction-free workspace at home

Preferred Qualifications:

  • Bachelor’s degree
  • Active and unrestricted RN license in Minnesota
  • Certified Case Manager (CCM)
  • Managed Care experience
  • Case Management experience
  • Call Center experience
  • Experience with / exposure to discharge planning
  • Experience with utilization review, concurrent review and / or risk management

California, Colorado, Connecticut, Nevada, New Jersey, New York, Rhode Island, or Washington Residents Only: The salary range for California, Colorado, Connecticut, Nevada, New Jersey, New York, Rhode Island or Washington residents is $56,300 to $110,400. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy